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Surgical results of idiopathic and secondary epiretinal membrane

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Author(s)
Kyung Tae KangKwang Soo KimYu Cheol Kim
Keimyung Author(s)
Kim, Kwang SooKim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
International Ophthalmology
Issued Date
2014
Volume
34
Issue
6
Abstract
The aim of the study is to compare the
surgical results of patients with an idiopathic and
secondary epiretinal membrane (ERM) after pars
plana vitrectomy and membranectomy. The medical
records of 51 consecutive patients with ERM who
underwent pars plana vitrectomy and membranectomy
with a follow-up [1 year were reviewed retrospectively.
Age, sex, best-corrected visual acuity (BCVA,
logMAR), lens status, presence of additional removal
of internal limiting membrane (ILM), and recurrence
rate within 1 year after the operation were compared
in the idiopathic and secondary ERM groups. Fortyone
eyes had idiopathic ERM and 10 eyes had
secondary ERM. Preoperative average BCVA values
in the two groups were 0.47 and 0.70, respectively, and
the postoperative average BCVA values were 0.28 and
0.18, respectively, with significant improvement postoperatively
in both groups (p\0.01, p\0.01). The
recurrence rate within 1 year after surgery in the
idiopathic group was 4.88 % and that in the secondary
group was 20 % (p = 0.03). The recurrence rate was
4.3 % in the idiopathic group with ILM removal and it
was 5.9 % without ILM removal (p = 0.03). No case
recurred within 1 year in the secondary group with
ILM removal but the recurrence rate was 33.3 %in the
group without ILM removal (p = 0.01). Although
patients with secondary ERM gained better visual
acuity improvement postoperatively, the recurrence
rate was higher within 1 year than that of patients with
idiopathic ERM. Removal of the ILM may lower
recurrence rates.
Keywords Epiretinal membrane Internal limiting
membrane Vitrectomy
Keimyung Author(s)(Kor)
김광수
김유철
Publisher
School of Medicine
Citation
Kyung Tae Kang et al. (2014). Surgical results of idiopathic and secondary epiretinal
membrane. International Ophthalmology, 34(6), 1227–1232. doi: 10.1007/s10792-014-0010-1
Type
Article
ISSN
0165-5701
Source
https://link.springer.com/article/10.1007%2Fs10792-014-0010-1
DOI
10.1007/s10792-014-0010-1
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36017
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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